Deficiency Records for First Community Village Healthcare Ctr
Updated as of October 01, 2019
This is not the most recent data for First Community Village Healthcare Ctr. For the most recent information, click here.
A list of the most recent deficiencies for First Community Village Healthcare Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Be properly staffed | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-07 | 2019-03-08 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-31 | 2019-03-08 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-31 | 2019-03-08 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-31 | 2019-03-08 | N |
Respond appropriately to all alleged violations. | Health | 2019-01-31 | 2019-03-08 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-31 | 2019-03-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-03-08 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-31 | 2019-03-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-31 | 2019-03-08 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-31 | 2019-03-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-03-08 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-31 | 2019-03-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-25 | 2018-07-20 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Be properly staffed | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-05 | 2018-05-15 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-05 | 2018-05-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-05 | 2018-05-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-05 | 2018-05-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-05 | 2018-05-15 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-05 | 2018-05-15 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-04-05 | 2018-05-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-05 | 2018-05-15 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-01 | 2017-10-31 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-25 | 2017-06-26 | Y |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-15 | 2017-03-22 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-15 | 2017-03-22 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-15 | 2017-03-22 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-15 | 2017-03-22 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-15 | 2017-03-22 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-15 | 2017-03-22 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-15 | 2017-03-22 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-02 | 2017-03-22 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-08 | 2016-12-06 | Y |